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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
E j E R S F 1_ E D
FIRE
D ARrM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
F- ACILITY. NAME
D
j INSPE ATE INSP ION TIME
ADDRESS y
d 4 ^ P d 7.(2>1C d
NO F LOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
CBC:401)
m.- VERIFICATION OF INVENTORY MATERIALS
CJ
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
31"" APPROPRIATE PERMIT ON HAND BMC: 15.65.080) L D
moo"' Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
WI-IIIE'l CORRECT OCCUPANCY CBC:401)
m.- VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
0' VERIFICATION OF QUANTITIES CCR: 2729.4) a/' 43UfC
VERIFICATION OF LOCATION CCR: 2729.2)
0o-_ PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
o ilGLe
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
2" E11- VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
V_1*'t1 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(g, CFC: 2703.5)
L HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? E] YES EYNO Signature of Receipt
Explain:
I
FOS'r INSFEC'FION INS '1' RUC 'I 1UNS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violaflons, sigg and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Calilornia 93301
ign ure (that all viola41 ns have been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent inafter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)